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早产出生成年人胼胝体的扩散张量磁共振成像与认知功能

Diffusion tensor MRI of the corpus callosum and cognitive function in adults born preterm.

作者信息

Kontis Dimitris, Catani Marco, Cuddy Marion, Walshe Muriel, Nosarti Chiara, Jones Derek, Wyatt John, Rifkin Larry, Murray Robin, Allin Matthew

机构信息

Department of Psychological Medicine, Institute of Psychiatry, King's College London, UK.

出版信息

Neuroreport. 2009 Mar 4;20(4):424-8. doi: 10.1097/WNR.0b013e328325a8f9.

Abstract

Very preterm birth (before 33 weeks gestation) is associated with the white matter damage, and a common sequel is reduced size and altered shape of the corpus callosum. We used diffusion tensor MRI to assess the corpus callosum in 63 very preterm and 45 term-born young adults. Indices of white matter microstructure [fractional anisotropy (FA) and mean diffusivity (MD)] were obtained for the genu, body and splenium. Very preterm females had higher MD in the genu than term-born females, indicating altered white matter microstructure. This was associated with lower performance IQ. The groups demonstrated different patterns of correlations between verbal learning and tract-specific FA and MD, consistent with the reorganization of white matter structure in adults born very preterm.

摘要

极早产(妊娠33周前)与白质损伤有关,常见的后遗症是胼胝体体积减小和形状改变。我们使用扩散张量磁共振成像(MRI)对63名极早产和45名足月出生的年轻成年人的胼胝体进行评估。获取了胼胝体膝部、体部和压部的白质微观结构指标[分数各向异性(FA)和平均扩散率(MD)]。极早产女性的胼胝体膝部MD高于足月出生的女性,表明白质微观结构改变。这与较低的操作智商有关。两组在言语学习与特定束的FA和MD之间表现出不同的相关性模式,这与极早产出生的成年人白质结构的重组一致。

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